| NPI | 1710231238 |
|---|---|
| Former Name | ALAINA A SUTHERLIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: ID PA-1340) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: WI 3053-23) |
| Enumeration Date | 2012-11-06 |
| Last Update Date | 2016-03-23 |